Individual ProviderAlice KimFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address903 W Martin St, San Antonio, TX 78207-0903(210) 358-3985PECOS EnrollmentBased on the most recent information from CMS, provider Alice Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285378968Provider TypeIndividualFull NameKim, AliceCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/27/2022Last Updated8/25/2025Contact InformationPractice LocationPractice Address903 W Martin St, San Antonio, TX 78207-0903Phone(210) 358-3985Fax(210) 358-5942Mailing LocationMailing Address903 W Martin St, San Antonio, TX 78207-0903Phone(210) 358-3985Fax(210) 358-5942Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseV9925Texas